SONOSALPINGOGRAPHY STEPS BY LATE DR SAKSHI

HOPE THIS WILL HELP ALL
PRESENTATION MADE BY YOUNG SAKSHI OUR FAVORITE IMAGING SPECIALIST WHO WE LOST DUE TO CANCER

1. SONOHYSTEROSALPINGOGRAPHY (SONO HSG) DR SAKSHI TOMAR MD, DNB (RADIODIAGNOSIS) SANJAY PATHOLOGY CENTRE LAKHIMPUR KHERI UP

2. SONOHYSTEROSALPINGOGRAPHY Evaluation of the tubal patency and visualization of the endometrial cavity 6-9 days Analgesic Empty Bladder 8 F Foley’s Catheter. Bulb distended with 2.5- 3ml saline SSG Fluid ( apx 20ml) -Normal Saline -Saline agitated with air - Metrogyl - Ciplox , steroid, hylase - Echovist / Levovist & SonoVue Prophylactic Antibiotics

3. Hysterosalpingography Ionizing Radiation Contrast agent used are irritant and may be allergic Uterine musculature, ovaries and adnexae not visualized False positive cornual blocks Ambience not so comfortable Small endo polyp, submucus fibroids and cong uterine abnormalities better seen with SSG

4. CASE 1 B/L CORNUAL BLOCK

5. CASE 2 LEFT HYDROSALPINX WITH OBSTRUCTION

6. HSG

7. CASE 3 TUBAL OBSTRUCTION

8. CASE 4 SUBMUCUS MYOMA

9. CASE 5 ENDOMETRIAL POLYP

10. CASE 6 PELVIC ADHESIONS

11. SAFE & NONINVASIVE OPD PROCEDURE EASY TO PERFORM WELL TOLERATED RESULTS ARE REPRODUCIBLE MILD PAIN SENSITIVITY AND SPECIFICITY OF APX 80% IN MOST STUDIES TUBAL SPASM SONOHYSTEROSALPINGOGRAPHY

12. PREGNANT OR MAY BE PREGNANT ACUTE PELVIC INFECTION UNEXPLAINED PELVIC TENDERNESS CONTRAINDICATIONS

13. 3 D SONOSALPINGOGRAPHY USING COLOR AND PULSED DOPPLER

14. 3 D SONOSALPINGOGRAPHY USING COLOR AND PULSED DOPPLER

15. 3 D SONOSALPINGOGRAPHY USING COLOR AND PULSED DOPPLER

16. HYSTER0SALPINGO CONTRAST SONOGRAPHY (HY CO SY) USING LEVOVIST

17. 3 D COLOR CODED IMAGING USING SONOVUE

18. 3 D COLOR CODED IMAGING USING SONOVUE

19. THANK YOU